OB Contract: Any OB contract signed by the patient must be paid by the 28th week of pregnancy. Non-payment of the contracted amount may result in discharge from the practice for non-compliance with our financial policy.
Credit Cards: For your convenience, we will keep your credit card information on file to be used for balances on your account that are your responsibility (co-insurances, co-pays, deductibles), not to exceed $150.00. Your signature on this financial policy will be noted as a signature on file for all credit card transactions.
FMLA: There is a $25.00 fee for FMLA paperwork This fee is due PRIOR to any paperwork being faxed or picked up. There is a $50.00 fee for expedited FMLA paperwork.
Returned Check Fee: A $25.00 fee will be assessed to your account for any returned checks
Cancellation/No Show Policy/Late: A $50.00 fee will be an assessment to your account for “NO SHOW” if you fail to cancel or reschedule an appointment with at least 24-hour notice. A $200.00 fee will be charged for surgeries canceled less than 7 days prior to the surgery date. Patients who arrive late for their appointment will be rescheduled.